Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status.

OBJECTIVE: To validate a revision of the Mini Nutritional Assessment short-form (MNA(R)-SF) against the full MNA, a standard tool for nutritional evaluation. METHODS: A literature search identified studies that used the MNA for nutritional screening in geriatric patients. The contacted authors submitted original datasets that were merged into a single database. Various combinations of the questions on the current MNA-SF were tested using this database through combination analysis and ROC based derivation of classification thresholds. RESULTS: Twenty-seven datasets (n=6257 participants) were initially processed from which twelve were used in the current analysis on a sample of 2032 study participants (mean age 82.3y) with complete information on all MNA items. The original MNA-SF was a combination of six questions from the full MNA. A revised MNA-SF included calf circumference (CC) substituted for BMI performed equally well. A revised three-category scoring classification for this revised MNA-SF, using BMI and/or CC, had good sensitivity compared to the full MNA. CONCLUSION: The newly revised MNA-SF is a valid nutritional screening tool applicable to geriatric health care professionals with the option of using CC when BMI cannot be calculated. This revised MNA-SF increases the applicability of this rapid screening tool in clinical practice through the inclusion of a "malnourished" category.

Slip-Form Paving as Developed and Pioneered in Iowa,1961.

Summarizes Iowa's 14 years of experience in pioneering and developing slip-form paving methods

Recueil de pièces relatives au prieuré de Dhuisy, diocèse de Meaux, formé par Charles de Chantecler, prieur et seigneur de Dhnisy, pour les besoins de son procès contre Henri de Bourbon, prince de Condé, en 1573.

L'acte de fondation de ce prieuré (fol. 17) porte la date de 1170. — Ce ms. a appartenu à « l'abbé de Sencour, chanoine de Rouen. »

Recueil de pièces, manuscrites et imprimées, formé par le président Achille III DE HARLAY, relatives principalement à l'histoire religieuse, politique, administrative, diplomatique et littéraire des XVIe et XVIIe siècles. VIII.

Contient : Lettre d'Innocent XI ; « Observations sur l'Histoire du luthérianisme du P. Maimbourg » ; Extraits des Registres capitulaires de l'Église de Paris, 1654 ; Copies de pièces du XIIIe et du XIVe siècles relatives à différentes affaires ecclésiastiques ; Copie d'une lettre à Baluze sur un manuscrit chaldéen reçu du Levant par Colbert ; Sur la « Conférence de Cartage » ; Fragment orig . d'Ismaël Boulliau sur l'échéance du jour de Pâques ; « Observations sur un Traité de l'Usure fait par M. Poncet » ; « Oraison funèbre de M. de Candale par M. l'abbé Roquette, depuis évêque d'Autun » ; « Éclaircissement par M. Bernier sur le livre de Monsr de La Ville » pour la défense d'opinions de Descartes ; Mémoire pour la liberté de la Faculté de théologie de Paris ; Extraits impr. des Registres capitulaires de l'Église de Paris ; Sur la Visitation d'Angers ; Mémoires de procédure impr. relatifs à la Sainte-Chapelle ; Recueil de pièces mss et impr., bulles pontificales, lettres royales, etc., relatives à la Régale, 1198-1681 ; Établissement d'une Chambre royale à Metz, et extraits des Registres de cette Chambre royale, impr ; Lettre orig. de D. Godefroy, 1680 ; Pièces relatives à la principauté de Charleville ; Entrée de la reine de Suède Ulrique-Éléonore à Stockholm, 1680 ; Pièces impr. relatives à l'Hôpital général de Paris ; Ordonnances impr. du magistrat d'Amsterdam portant interdiction des carrosses dans ladite ville, en hollandais

Recueil de pièces, manuscrites et imprimées, formé par le président Achille III DE HARLAY, relatives principalement à l'histoire religieuse, politique, administrative, diplomatique et littéraire des XVIe et XVIIe siècles. XXXI.

Contient : Pièces sur les Jésuites (f. 1), — sur les Frères Prêcheurs, impr. (f. 34), — sur la Sorbonne (f. 48) ; Pièces sur Descartes ; Extrait des Registres du Conseil d'État relatif à l'acquisition, pour la Bibliothèque du roi, d'une partie de la bibliothèque de Mazarin, 1668 ; « Epistola » R. Rapini, S. J., « ad... Cl. Pelterium », impr., 1684, in-8° ; Extraits de Registres du Parlement ; « Procédures faites... contre Antoine, comte de Shaftsbury », 1681 ; Sur la « Prévention » en Anjou ; Factums divers impr., affaire Bruant des Carrières ; Pièces relatives à la Compagnie des Indes orientales ; Factums impr., affaire Marcara Avachins ; Pièces relatives au commerce : « Avis sur le fait des ardoises », impr., 1683, in-4° ; Notes sur « Les édits et règlements des libraires, imprimeurs, relieurs et doreurs » ; Note sur le commerce des harengs

Recueil, formé de 1573 à 1578, d'extraits (généalogies, chartes, épitaphes, etc.) concernant l'histoire des familles de Lorraine, attribué à Nicolas Bousmard, chanoine de l'église de Verdun (d'après D. Calmet, Bibl. lorr., 165).

Contient : Épitaphes des Cordeliers de Neufchâteau ; Épitaphes de Bayon ; Épitaphes de l'abbaye de Beaupré ; Épitaphes de Magnières ; Épitaphes des Cordeliers de Mirecourt ; Épitaphes des Carmes de Besançon ; Épitaphes des Cordeliers de Besançon ; Épitaphes de Bourbonne ; Épitaphes de l'abbaye de Morimond ; Épitaphes de Beaufrémont ; Épitaphes de Remennecourt ; Copie abrégée de l'épitomé de Jean Daucy ; Extrait du Trésor de l'évêché de Verdun

Transformation rules form OntoProcED to OntoOKI

This file contains the transformtion rules in SWRL to translate formal specifications of two lower ontology levels (patterns and organization) to the upper level (implementation according to the OKI specification).

Patient versus general practitioner perception of problems with treatment adherence in type 2 diabetes: from adherence to concordance.

OBJECTIVES: To determine the prevalence of problems with treatment adherence among type-2 diabetic patients with regards to medication, dietary advice, and physical activity; to identify the associated clinical and psychosocial factors; and to investigate the degree of agreement between patient-perceived and GP-perceived adherence. METHODS: Consecutive patients were solicited during visits to 39 GPs. In total, 521 patients self-reported on treatment adherence, anxiety and depression, and disease perception. The GPs reported clinical and laboratory data and patients' adherence. A multivariate analysis identified the factors associated with adherence problems. RESULTS: Problems of adherence to medication, dietary advice, and physical activity recommendations were reported by 17%, 62%, and 47% of the patients, respectively. Six independent factors were found associated with adherence problems: young age, body-mass index (BMI) > 30 kg/m(2), glycosylated haemoglobin (HbA(1c)) > 8%, single life, depression, and perception of medication as a constraint. Agreement between patients' and GPs' assessments of treatment problems reached 70%. CONCLUSION: In type 2 diabetes, problems with dietary advice or physical activity are far more frequent than problems with medication, and not all physicians are fully aware of patients' problems. More active listening and shared decision-making should enhance adherence and improve outcomes.

Selective expression of a dominant-negative form of peroxisome proliferator-activated receptor in keratinocytes leads to impaired epidermal healing.

Many nuclear hormone receptors are involved in the regulation of skin homeostasis. However, their role in the epithelial compartment of the skin in stress situations, such as skin healing, has not been addressed yet. The healing of a skin wound after an injury involves three major cell types: immune cells, which are recruited to the wound bed; dermal fibroblasts; and epidermal and hair follicle keratinocytes. Our previous studies have revealed important but nonredundant roles of PPARalpha and beta/delta in the reparation of the skin after a mechanical injury in the adult mouse. However, the mesenchymal or epithelial cellular compartment in which PPARalpha and beta/delta play a role could not be determined in the null mice used, which have a germ line PPAR gene invalidation. In the present work, the role of PPARalpha was studied in keratinocytes, using transgenic mice that express a PPARalpha mutant with dominant-negative (dn) activity specifically in keratinocytes. This dn PPARalpha lacks the last 13 C terminus amino acids, binds to a PPARalpha agonist, but is unable to release the nuclear receptor corepressor and to recruit the coactivator p300. When selectively expressed in keratinocytes of transgenic mice, dn PPARalphaDelta13 causes a delay in the healing of skin wounds, accompanied by an exacerbated inflammation. This phenotype, which is similar to that observed in PPARalpha null mice, strongly suggests that during skin healing, PPARalpha is required in keratinocytes rather than in other cell types.

Recovery of biological motion perception and network plasticity after cerebellar tumor removal.

Visual perception of body motion is vital for everyday activities such as social interaction, motor learning or car driving. Tumors to the left lateral cerebellum impair visual perception of body motion. However, compensatory potential after cerebellar damage and underlying neural mechanisms remain unknown. In the present study, visual sensitivity to point-light body motion was psychophysically assessed in patient SL with dysplastic gangliocytoma (Lhermitte-Duclos disease) to the left cerebellum before and after neurosurgery, and in a group of healthy matched controls. Brain activity during processing of body motion was assessed by functional magnetic resonance imaging (MRI). Alterations in underlying cerebro-cerebellar circuitry were studied by psychophysiological interaction (PPI) analysis. Visual sensitivity to body motion in patient SL before neurosurgery was substantially lower than in controls, with significant improvement after neurosurgery. Functional MRI in patient SL revealed a similar pattern of cerebellar activation during biological motion processing as in healthy participants, but located more medially, in the left cerebellar lobules III and IX. As in normalcy, PPI analysis showed cerebellar communication with a region in the superior temporal sulcus, but located more anteriorly. The findings demonstrate a potential for recovery of visual body motion processing after cerebellar damage, likely mediated by topographic shifts within the corresponding cerebro-cerebellar circuitry induced by cerebellar reorganization. The outcome is of importance for further understanding of cerebellar plasticity and neural circuits underpinning visual social cognition.

Heat perception and signalling in plants: a tortuous path to thermotolerance.

An accurate assessment of the rising ambient temperature by plant cells is crucial for the timely activation of various molecular defences before the appearance of heat damage. Recent findings have allowed a better understanding of the early cellular events that take place at the beginning of mild temperature rise, to timely express heat-shock proteins (HSPs), which will, in turn, confer thermotolerance to the plant. Here, we discuss the key components of the heat signalling pathway and suggest a model in which a primary sensory role is carried out by the plasma membrane and various secondary messengers, such as Ca(2+) ions, nitric oxide (NO) and hydrogen peroxide (H(2) O(2) ). We also describe the role of downstream components, such as calmodulins, mitogen-activated protein kinases and Hsp90, in the activation of heat-shock transcription factors (HSFs). The data gathered for land plants suggest that, following temperature elevation, the heat signal is probably transduced by several pathways that will, however, coalesce into the final activation of HSFs, the expression of HSPs and the onset of cellular thermotolerance.